| Koinonia Family Services | |
|
4008 S Demaree St Ste A Visalia CA 93277-9476 | |
| (559) 635-8926 | |
| Not Available |
| Full Name | Koinonia Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4008 S Demaree St Ste A, Visalia, California |
| Authorized Official Name and Position | Tiffany Danielle Sickler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9166525802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Family Services Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-5802 | Koinonia Family Services 4008 S Demaree St Ste A Visalia CA 93277-9476 Ph: (559) 635-8926 |
| NPI Number | 1033652342 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033652342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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